Imaging Evaluation of Acute Chest Pain Systematic Review of Evidence Base and Cost-effectiveness

被引：9

作者：

Bamberg, Fabian ^{[1
]}

Marcus, Roy P. ^{[1
]}

Schlett, Christopher L. ^{[2
]}

Schoepf, U. Joseph ^{[3
]}

Johnson, Thorsten R. ^{[1
]}

Nance, John W. ^{[4
]}

Hoffmann, Udo ^{[2
]}

Reiser, Maximilian F. ^{[1
]}

Nikolaou, Konstantin ^{[1
]}

机构：

[1] Univ Munich, Inst Clin Radiol, Klinikum Grosshadern, D-81377 Munich, Germany

[2] Harvard Univ, Sch Med, Dept Radiol,Cardiac MR PET CT Program, Massachusetts Gen Hosp,Div Cardiol, Boston, MA 02115 USA

[3] Med Univ S Carolina, Dept Radiol & Radiol Sci, Charleston, SC 29425 USA

[4] Johns Hopkins Univ, Dept Radiol, Baltimore, MD USA

来源：

JOURNAL OF THORACIC IMAGING | 2012年 / 27卷 / 05期

关键词：

cardiac computed tomography; magnetic resonance imaging; myocardial perfusion imaging; cost-effectiveness; evidence-based medicine; acute chest pain; 64-SLICE COMPUTED-TOMOGRAPHY; CARDIAC MAGNETIC-RESONANCE; ACUTE CORONARY SYNDROMES; ASSOCIATION TASK-FORCE; EMERGENCY-DEPARTMENT PATIENTS; MYOCARDIAL-INFARCTION; AMERICAN-COLLEGE; LOW-RISK; CLINICAL CHARACTERISTICS; DIAGNOSTIC PERFORMANCE;

D O I：

10.1097/RTI.0b013e3182628053

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Given the often inconclusive initial evaluation of patients presenting with acute chest pain in the Emergency Department, advanced imaging techniques have been evaluated in the quest for improving the current standard of care. In this article, we systematically compare and evaluate the available evidence and cost-effectiveness of radionucleotide myocardial perfusion imaging, cardiac computed tomography angiography, and cardiac magnetic resonance imaging using data from PubMed and EMBASE through January 2012. The obtained data were summarized and categorized according to the reached level of evidence and its impact on the decision-making process.

引用

页码：289 / 295

页数：7

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